This paper reports on a reflective process used to identify areas for practice change as one element of a large practice development project that is currently being implemented in a large metropolitan psychiatric hospital. The paper describes a stepwise process of group and individual reflection on practice which was successful in helping clinicians identify areas for practice change and motivate them to plan and implement client centred change. The process described here also shows that reflection itself is insufficient to bring about change and that structures must be developed to act as the scaffolding to support the changes identified by the reflection on practice. © 2002 Elsevier Science Ltd. All rights reserved.

Item Type:	Refereed Article
Keywords:	article; clinical practice; elderly care; health care planning; health care quality; human; medical decision making; mental health service; mental hospital; motivation; nurse practitioner; nursing education; patient care; problem solving; thinking
Research Division:	Medical and Health Sciences
Research Group:	Nursing
Research Field:	Aged Care Nursing
Objective Division:	Health
Objective Group:	Specific Population Health (excl. Indigenous Health)
Objective Field:	Health Related to Ageing
Author:	Walsh, K (Professor Kenneth Walsh)
ID Code:	92312
Year Published:	2002
Deposited By:	Health Sciences B
Deposited On:	2014-06-13
Last Modified:	2014-06-13
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